Fresh Start Behavioral Health Clinic LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FRESH START BEHAVIORAL HEALTH CLINIC LLC

Practice address

4667 S Lakeshore Dr Ste 5
Tempe, AZ 85282-7293

Phone

(630) 965-3229

NPI assigned

Aug 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana HollandNPI 1295419448

Title

Ceo

Phone

(630) 965-3229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Holland

  • Counselor
  • Tempe, AZ
  • NPI 1295419448
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1093434813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 S LAKESHORE DR STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827293",
            "telephone_number": "630-965-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 S LAKESHORE DR STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827293",
            "telephone_number": "630-965-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START BEHAVIORAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-965-3229"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lee Freeman, RN
• Ramona Freeman
• Troy Allyn Freiheit, D.C.
• Halyna Lubov Freishyn-Chirovsky, RN, BSN, BED
• Brian French
• Diana Freund, RDH
• Gabriele Frias
• Kelly Fribourg, PHARM.D.
• Sharon Kay Frick, PH. D.
• Kelli Friedel

• Adult Mental Health Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.